Ectropion

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Ectropion is the turning out of the eyelid so that the inner surface is exposed. It most often affects the lower eyelid. This condition can cause dryness, excessive tearing, and irritation. Ectropion is more common in older adults.

In severe ectropion, the entire length of the eyelid is turned out. When ectropion is less severe, only one segment of the eyelid sags away from the eye. The primary cause of ectropion is the muscle weakness or tissue relaxation that occurs as part of the normal aging process.

Symptoms:

Dry painful eyes

Excess tearing of the eye (epiphora),

Eyelid turns outward

Long-term (chronic) conjunctivitis

Keratitis

Redness of the lid and white part of the eye.

Diagnostic test:

The health care provider will make a diagnosis by doing an exam of the eyes and eyelids. Special tests are not needed most of the time.

Treatment:

Artificial tears (a lubricant) may ease dryness and keep the cornea moist. Surgery to tighten the muscles that hold the eyelids in place is very often effective. It may be done as outpatient surgery using medicine to numb the area (local anesthesia).